SearchFlorida2255A2300X

Ryan Pederson, ATC, LAT

NPI 1568637742 · on the registry since 2008 · sole proprietor

Practice

Address
13322 Excalibur Rd
Clermont, FL 34711
Phone
(352) 242-2080

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida